Organization Active NPI

Synergy Homecare

  • Home Health Agency
  • Broomall, PA
National Provider Identifier
1457699977
Registry record updated Jan 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
11913601 Issued in PA
Legal business name
SYNERGY HOMECARE
Practice address
450 Parkway
Suite C
Broomall, PA 19008-4202
Phone
(610) 265-2350
Fax
(610) 265-2581
NPI assigned
Jan 17, 2013
Last updated
Jan 17, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Travis McMenimon
Title
Managing Director
Phone
(610) 265-2350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 11913601 PA Primary

Addresses

Primary practice location

450 Parkway
Suite C
Broomall, PA 19008-4202

Mailing address

450 Parkway
Suite C
Broomall, PA 19008-4202
Phone (610) 265-2350

National Provider Directory

National Provider Directory

Locations

450 Parkway
Ste C
Broomall, PA 19008
Phone (610) 265-2350

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1358380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358380800000",
    "number": "1457699977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 PARKWAY",
            "address_2": "SUITE C",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190084202",
            "telephone_number": "610-265-2350",
            "fax_number": "610-265-2581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 PARKWAY",
            "address_2": "SUITE C",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190084202",
            "telephone_number": "610-265-2350",
            "fax_number": "610-265-2581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY HOMECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-17",
        "last_updated": "2013-01-17",
        "status": "A",
        "authorized_official_last_name": "MCMENIMON",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "610-265-2350"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "11913601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomall, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.